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Work Activity il4rork Order Page � <br /> 9/Ze/zoia io:sz <br /> Issued By WMW WARD,MICHAEL W. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued srsim�a <br /> Fund 401 Account s Program �to Function �iy Activity 661 <br /> Program <br /> Tille SO.751NCH 3128 C BROA�WAY 71011966a <br /> Work Order No 20141131 Project Activity Type CORRECTIVE bSAINTeNANCE SfBIUS CL <br /> Status 5isrzo�a Time �a;aa Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phont No ( ) • Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 3128 C Stree� gROADWAY <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility locate (USA) Mo Calied Date Expirat�an Date <br /> Ass(gnment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned Ta <br /> Assigned E3y <br /> Assigned Date ___ To Be Comp Date <br /> Scheduled Date Scheduled Time . <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALLC-D METER p9402J358.RF 185041J160. WATER ON.PLEASE NOTE ACCOUN?, <br /> METERS FOR UNITS A,B PND C ARE IN THE SAME METER BOX. <br /> Recommended Action <br /> Approved By wo� we.4vr:R,o[nN�, Job Cost lnformation(Y/N) <br /> Start Date � � Time Date Completed s�zoi2o�a Permit No <br /> Completed By_ Time Foi!ow Up? 'G <br /> � 7 <br />,I <br />